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HomeMy WebLinkAbout0996 BUMPS RIVER ROAD Sump�Iiv&Y-74 o TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map ` Parcel v Application Health Division Date Issued 16 Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH " Preservation / Hyannis Project Street Address - 1 1(y i �Uec Village CQq 4 Owner OVA VV Nw Address * u �yY� Telephone Permit Request -f- fro cr mcm Wcr .s� uCe� L�rc1, � c�►e�� aSs 1 4q' ee . st oor: existing proposed 2nd floor: existing proposed I TotARneva- Zoning District Flood Plain Groundwater Overlay _ .� D Project Valuation 3 �'o o Construction Type,_: S V Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family /X Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes IN 0 If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Ro Ccvf` Telephone Number g ea" Address "-riM �t? �! License # l M6 Home Improvement Contractor# 6- Email G 1 (���- ► ]�'(�Q Worker's Compensation # Jae } OkJ ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO NIIL& Wffiftl`l ' )A SIGNATURE �v� DATE L � i . 4' FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED k MAP7/PARCEL NO. r ADDRESS r VILLAGE OWNER !� r DATE OF INSPECTION: FOUNDATION FRAME ti r INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE--CLOSED OUT A$$OCIATION PLAN NO. The Commonwealth of Massachusetts Department of Industrial Accidents F Office of Investigations I Congress Street, Suite 100 Boston, MA 02I14-2017, www mass.gov/dia Workers Compensation Insurance ranee Affidavit: Buil ders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Naive (Business/Organization/Individual): insulate 2 Save, Inc Address:410 Grove Street City/State/Zip:Fall River, MA 02720 Phone #:508-567-6706 Are you an employer?'Check the appropriate box: 4. I am a general contractor and I Type of project(required): I am a employer with 20 employees (full and/or part-time):* have hired the sub-contractors 6 ❑New construction 2. I am a sole proprietor or partner- listed on the attached sheet. 7. [] Remodeling ship and have no employees These sub-contractors have g. ❑ Demolition working for me in any capacity. employees and have workers' [No workers' comp. insurance comp, insurance.: 9• ❑ Building addition required.] 5. We area corporation and its 10.❑ Electrical repairs or additions 3.0 I am a homeowner doingall work officers have exercised their I I El Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.[] Roof repairs c. 152 insurance required.] t , §1(4),and we have no Insulation employees. [No workers' 13.9 Other comp. insurance required.]' *'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurannce Company Name:'Liberty Mutual Insurance Policy#or Self-ins. Lic. #:XWS,56418741 Expiration Dater 12/10/2015 Job Site Address: City/State/Zip: C'ywA(,k ,V"A 0102- Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in-the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy-of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature: Date: 1 ZZ Phone#: 508-567-6706 Offcial use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#•. -=-� Office of Consumer Affairs and Business Regulation W. 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 180747 a n "# Type: Corporation Expiration: 12/29/2016 Tr# 261507. ZA INSULATE 2 SAVE , INC. _ ROLAND LANGEVIN 410 GROVE ST FALLRIVER, MA 02720 -� �; -- --- r Update Address and return card.Mark reason for change. �! Address L] Renewal F Employment Lost Card SCA 1 0 MM-05t11 ���G (,^li irUYl'1CJtCUG'CL!ICI U�:�/C 4CLGuCGC�(,/:fP.CI Office of Consumer Affairs&Business Regulation License or registration valid for individul use only TOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation a istration: �, 7 Type: g 9 18074 YP Expiration ,1212912016 Corporation 10 Park Plaza-Suite 5170 5 1 J Boston,MA 02116 =r INSULATE 2 SAVE INC �q - 1 ROLAND LANGEVIN �.. r 410 GROVE STti, '1i FALLRIVER,MA 02720 -' Undersecretary Not valid without signature 1 Ulassact;a-s t s -Qc a�rtr* rt ci Pub r,Sa;ety Board of Building Regulations and Standards Construction Saperyisor License CS-103861 ROLAND LANGEVIN 536 EASTERN AVE. �gg Fall River MA 02�23 � uerrsl>rtssir�ro�r 08,24/2015 I a �c CERTIFICATE OF L1 DATE�,,,...•. _ _ ABILITY INSURANCE 12J9/141 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER;THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.: THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. i IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,,the policy(tes) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME:_ Anthony F. Cordeiro Insurance a PHONE (508) 677 0407 n'x N (s0a) 077.-0409. 171 Pleasant Street E-MAIL ADDRESS: hsouza@Cordeiroinsurance.Dom Fall R: ver, MA 02721 ;. ._ INSU_ RER(S AFj FORDING COVERAGE _ -- NA!C k RERA:Libertv Mutual Insurance .�. INSURED INSURER 6 Insulate 2 Save, Inc. INSURERC rt , 410 Grove St. INsuRERD. --.---- _. � • Fall River-, MA 62720 INsuRERE: _ INSURER F i COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE,FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE,-AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRI �AODLSUBRI _... ......POLICY EFF'-T"POLICY DCP..'...... . LTR, TYPEOFINSURANCE N I, POUCYNUMBER { M(DDN MMlQDYYYY 'LIMITS A iVGENERALUAewTY Y Y BKS 56418741 12/10/14 12/10/15{ EACH OCCURRENCE { $ 1 ,.00b 000 I X COMMERCIAL GENERAL LIABILITY i j `DAMAGETORENTED� — $ 300,000 1"—r` 1 .r-- I i eBE�)5E.&1fa ocwrreace)__I _ CLAIMS MADE i X:OCCUR I ME EXP(Anyone person) i 5._ _- 5 OQO I - I i PERSONAL&ADV INJURY._1$ -- 1,00:0 000 t—J GEN_ERALAGGREGATE 5 2,0.07_1 000_...� 1 GEN'L AGGREGATE LIMIT APPLIES PER ( i j lPRODUCTS-COMP/OP�AGG��-2 000 QOQ E X( POLICY PRO-JECT LOC I { — L.g A NJTOMAOBILEUABIUTY j iBAA 56418741 12/10/141 12/10/15; coMB� DsINGLELiMrr 1,000,000 i ANY AUTO { I { BODILY INJURY(Per person)-. ALLOWNED SCHEDULED AUTOS $ AUTOS { BODILY INJURY(Per acc tlentj $ � � NON-OWNED 1 PROPERTY DAMAGE `- HIREDAUTOS X AUTOS r FiPeraaiderrt), A X {UI REu�LIAB �X OCCUR { Y Y USO 56418741 ! 12/10/14' 12/10/151 EACHOCCURRENCE S 2 0!).0 000 EXCESS LIAB A' CLAIMS hMDE !AGGREGATE $ 10,000 DiD RETENTIONS {• , - ���.` —�.. _ ;S.. NIORKERS COMPENSATION I 1 , 14 i 1 / 0 1 WC STATU i OTH , A YIN XWS 56418741 1 51_X�TC)rtxLNllZs __...tea,__. AND EMPLOYERS'LIABILITY - 2 1 / -_ -2/10 ANYPROPRIETORIPARTNEPJEXECUTNE E,L_EACH ACCIDEM 5 500 OOO OFFKRMIEMBEREXCLlAEO? NIA{ j —.,— —1—..— (Myyandatory.in NH) _ kf.L DISEASE-EA_EMPLOYEEI 5_, 500,000 er I if es, OPERATIONS beiow E.L.DISEASE-POLICY LIMIT S SOO,OOA I { r i DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (A#ach.ACORD 101,Additional Remarks Schedule,if more space is regUred) Proof bf Insurance. CERTIFICATE HOLDER CANCELLATION " SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL,BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. - AUTHORIZED REPRESENTATIVE ©1988.2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD Phnnp' Fax: E-Mail: f . ` �• > 'Town of Barnstable Regulatory Services RML A-4a Ricbard V.scab,Director Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 >aww.town.barnstable.na.us Office: 508-8624038. Fax: 508-790-6230 Property Owner Must C:ompletc and Sign This Section If.IJsin�_A Builder as Chvner of the subject .y lncrrbyatnthonrx ► t) IA-�-� vQ�to act on my behalf, in all matters relative to work authorized by this balding pernvt application for: Ya a C. T---�.LX-w,-,-ps TZ.Jzx--t' '15' (Address of Job) "Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilised before fence is installed and all fijua- inspections are performed and accepted_ Signature of Owner Signature of Applicant Print flame Print Name Date Q!FORMS 0WNTF_RPF_"U41SS10NP0ULS Federal ID 0 06-0409929 ` RISE Engineering Rl Contractor Registration No 8186 MA Contractor Reglstratlon No 120979 A division of Thielsch Engineering CT Contractor Registration No SM20 5 Dupont Avenue,South Yarmouth,MA 02664 CONTRACT 508-%&1926 X-6197 FAX 508-SW1933 Page PROGRAM THIS CONTRACT S ENTEAED D7r0 861101M MU CLC-RCS EXCLAMERINO AND THE CUSTOMER MR VIM AS DHSCRISED S&OW . CUSTOMER PHONE DATE CLIENTA WORK ONM Duncan L Spooner (508)420-7304 01/08/2015 I01619 00003 SERVICE STREET O&UNG STREET - 996 Bumps River Road 996 Bumps River SERVICE CnY,STAmap -__ aILLINO MY,STATE.ZIP Centerville,MA 02632 Centerville,MA 02632 JOB DESCRIPTION STORAGE BARRIER Homeowner is responsible for the removal of the stored items blocking the installation of weatherization work in the attic. Removal must occur prior to the scheduled work start. $0.00 ATTIC FLAT,Provide labor and materials to install a 12"layer of R-38 unfaced fiberglass Batts to(Ioo)square feet of attic space. $246.00 ATTIC FLAT:Provide labor and materials to install a 10"layer of R-35 Class 1 Cellulose added to(960)square feet of open attic space. $1,152.40 ATTIC ACCESS:Provide labor and materials to insulate(1) back of the kneewall hatch with 2'rigid Thermax board,and seal the edge of the hatch with weatherstripping. $42.50 ATTIC ACCESS:Provide labor and materials to insulate the back of the attic door with 2"rigid Thermax board and seal the door's edge with weatherstripping to restrict air leakage. $73.91 VENTILATION:Provide labor and materials to install(2)insulated exhaust hose with roof mounted flapper vent to exhaust existing bathroom fan(s). $232.20 VENTILATION:Provide labor and materialssto install ventilation chutes in(72)rafter bays to maintain air flow. $25128 VENTILATION:Provide labor and materials to install(12)perforated soffit panels to increase ventilation in attic areas. $312.00 COMMON WALLS':Provide labor and materials to install 2"FSK faced semi-rigid fiberglass board insulation to(90)square feet of common wall area $297.90 BASEMENT CEILING:Provide labor and materials to install(60)linear feet of R-19 unfaced fiberglass insulation to the perimeter of the basement ceiling at the house sill $131.40 STAIRWELL:Provide labor and materials to install Class 1 Cellulose insulation to the sheetrock or plaster ceiling and/or walls of stairwell which are common to heated space,through a surface drill and plug method. a The holes are plugged with Styrofoam plugs, and speckled to a rough finish. Any sanding and painting required are the customer's responsibility. $423.54 f RISE Engineering will apply all applicable,eligible incentives to this contract. You will be billed only the Net amount. Cumntly, for eligible measures,the Cape Light Compact offers 75%incentive,not to exceed$4,000 per calendar year,and an incentive of 100%for the Air Sealing measures. For the safety and health of your home's indoor air quality,we will be conducting a blower door diagnostic of the available air flow in Your home both before the work is begun,and after the weatherization work is complete.We will also conduct a full assessment of the combustion safety of your heating system and water heater.This has a value of$90 and is at no cost to you. „ 3 Federal ID#054 06629 RISE Engineering RI Contractor Regleaaaon No alas MA Contractor ReglsbaUon No 120979 A division of Thielsch Engineering CT Contractor Registration No M120 5 Dupont Avenue,South Yarmouth,MA 02664 CONTRACT 509-M8-1926 X-6197 FAX 508-568-1933 Page 2 PROGRAM CLC-RCS FENGIAEEn CONTRACT W T ENTEREDOM FOR KBETWEEN AS DESCRIBED emow CUSTOMER PHONE DATE CLIENTS WORN ORDER Duncan L Spooner (508)420-7304 01/08/2015 101619 00003 SERVICE STREET BMA.M STREET 996 Bumps River Road 996 Bumps River SERVICE CRY.STATE,ZIP BILLING CRY,STATE,EP Centerville,MA 02632 Centerville,MA 02632 JOB DESCRIPTION $90.00 Total: $3,253.13 Program Incentive: $2,462.35 Customer Total: $790.78 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATION&FOR THE SUM OF ***Seven Hundred Ninety&78/100 Dollars $790.78 UPON FINAL WSPECTION AND APPROVAL BY RISE ENGINEERING.CUSTOMER AGREES TO REMR AMOUNT DUE IN FULL INTEREST OF 1%WILL 8E CHARGED MONTHLY ON ANY . UNPAID BALANCE AFTER m DAYS.SEE REVERSE FOR IMPORTANT INFORMATION ON GUARANTEES.RIGHTS OF RECISKIN,SCHEDULING,AND CONTRACTOR REGISTRATION. DO NOT SIGN MS CONTRACT IF THERE ARE ANY BLANK SPACES top Engkmftg CUSTOMER ACCEPTANCE TE:TII18 MAY BE WITHDRAWN BY U8 ff NOT EXECUTED WITHIN DATE OF ACCEPTANCE 30 DAYS. ACCEPTANCE OF CON OT TRA -THESPECIFICATIONS PRICES,SPECCATIONS AND CONDITIONS ARE SATISFACTORY TO US AND ARE HEREBY ACCEPTED.YOU ARE AUTHORM TO no THE WORK AS SPECIM.PAYMENT WILL BE MADE AS OUnMED ABOVE Assessor's map_ and lot number f........ .............. a SEPTI. SYSTEM BE MUST j e INSTALLED IN COMPLIANCE Sewage Permit number �. - WITH ARTICLE If E . ................r.'.............:................K S t TAT <} ? SANITARY CODE AND TOWN EG ~y0F7HETp = TO:WN~ OF BARN ST�` �P �t c'r BASHSTAILEf Ar BUIL�D�INS INSPECTOR a3, ; ti j APPLICATION FOR PERMIT TO ...........° �+1 : .............. ... ...te..� ...1.� . ........:........................................ �3 TYPE OF CONSTRUCTION ........ .. ..... e. ... . :.Pa .. .��................ :.......... ot .1 � � .I TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a .permit according to the following information: �p l Location /... .t!'b.. +�..!�..�, t%'��...� .t.... .. wti C/ T ...��� .�`...12j t. E'/!�T C ! 1..�..� Proposed Use ..... W/ .f /.. ZoningDistrict ........................................................................Fire District .......................................................:...................... Name of Owner ... .�.ie �P a" � �` ...Address' < 7 4i4 / Nc�.. ....................... C ! Name of Builder . ...........................Address ...........5. !'...:.' .................................................... ............. Name of Architect .......................................Address .................. .............................................................. ........................... , f Number of Rooms ........Foundation �/ ' ................................... .... ................ Exterior .�.�. ... !..... ! �a. � . ................Roofng ............ .... . ........................................ Floors .......................a..........................................................Interior .................f-� W.... L......................................... Heating ..................................................................................Plumbing .......... S......... .......................... GO Fireplace ..................................................................................Approximate Cost ` Q® ...... .�..............l.. ..... ... . .. Definitive Plan Approved by Planning Board ________________________________19________. Area Diagram of Lot and Building with Dimensions Fee ... �—. . . .................. SUBJECT TO APPROVAL OF BOARD OF HEALTH -7 13e7 IoL 3 . i I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ................. .... aa''.......................... 19554 Curtis C. Bright 168 93 No 19554 Permit for Dwellg. .....:........... ` ............................................................................. Location WX..#.A..A**A...RiV:et:.Rd............... ` •Centeeville ............ ........................................ ................... Owner .. ...Bra.ght.......................::... Type of"Construction Frame .......... .....................................0......... Plot ...168....93......... Lot ................................ s Permit Granted ...................Augu.....t......31..........19 77 Date of Inspection 10131 0 ...04 19 / 7 Date Completed `....l. ..� ....�................19 • PERMIT REFUSED .......................... ............................... 19 ........................................ ...................... . . .... ..................... .............................;...... .Approved ................................................ 19 ,- �..... . ............ .. y Assessor's map and lot number ....... ..........:..................... .... Sewage Permit number ........ ..................:................................ 7NE TOWN , OF BARNSTABLE Bs1HHSTAHLS, 0 "b 9 DULDING INSPECTOR • �°�G MPY a' APPLICATION FOR PERMIT TO .......... ', �! ..t....I.. .....) ..{...r : 1 f 11J�. ............................................... TYPE OF CONSTRUCTION ..................:.,1l,.. r.. ... ��,) 3.. ................ ............................................... w ..................................19 i @ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: , Locat n ./....1�1-4 ,A � 1 `-�...R 1.1./r ,L'.....�J..........K..../-u5...��.l.�-.� .���. �t'!� .. ... .......�.. . . .... ............ .. .... .. ... 1 Proposed Use ..... ... !+tJ c. . ..:....... ......................................................................................................................................... ZoningDistrict ........................................................................Fire District .............................................................................. Name of Owner .. ..f�. ..?..�... :...t �C. �:�. ...Address .. ..�... .?..���f r..�` ..�'�4 .. /,s..................f{i lJ r Nameof Builder '/`t � .G Address r• '.................................................. ................................ly.................................................. Nameof Architect ..................................................................Address .................................................................................... {J, jC fz lc-T F Numberof Rooms ..................................................................Foundation .............................................................................. ' Y . ( j Exierior L' . ...; t�, ... , ...1..^ � .. ...Roofing �''t.�..ptr 4�L. ........................................ r Floors ...........................................................Interior .................�J> .�,1�..� r.......................................... Heating ..................................................................................Plumbing ,........? t"'���..., Fireplace ............................................Approximate Cost d d0 ... ...............�... ......... .... .... ....::.. Definitive Plan Approved by Planning Board ________________________________19--------. Area .... �°_...................:.......... Diagram of Lot and Building with Dimensions Fee .. !•rr `�5" SUBJECT TO APPROVAL OF BOARD OF HEALTH ry I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name . f.... ......C7.... .v. ................... 19554 Curtis G. BTight '0 No 19554 .......... Permit for ........ ........ '....... ....... .............................. .......................... .......... Location ............ .............................P.9AWYA11.4......................... Owner .........CurtisG.. .Bri&4t .................. .... ......................... Type of Construction .......rams.......................... ................................................................................ Plot 1.......................... .. �Lot ................................ Permit Granted .........\Aug!�p.�...............19 77 Date of Inspection ............\.....................19 Date Completed ...................19 PERMIT'' REFUSED A\1TRE ............... 19 .... ....... ................. . ....... ... . ............... ....... .. ... . ..... .. ............. ...... ............ ...... ....... ...... . .. ...... ........ C .......... ....... .........I../ ...... ...... ............ Approved ................................................ 19 ............................................................................... ............................................................................... r , i . s M � r 8 hoT4 m '9 36,23 5�- Mites ON 8 f � 5 on �1Zi s plctve C)"St o .� ��r�e s . Z e� o�s• v� o-E- � ��Q� -•� U&M M CEO71 17 t CAT!ot�( t'i A 1 O A4 P5 '�V-N ETA LE CCF-IQ R< JcLL 0 lvj� v C r. #23 207 J a 0, aov.- 30a